Abstract

Introduction

Trainee-led networks were developed to support improvements in patient care by delivering audit, quality improvement and research projects across multiple sites. The Midlands was the first UK region to establish gastroenterology trainee research networks: WMRIG in 2015 and the GARNet in 2016. North West trainees established GasTRIN NoW in 2017. Here, we report the first project in the UK to be delivered simultaneously by trainee physicians through multiple networks.

Methods

We audited the care of patients with acute upper GI bleeding (AUGIB) against national quality standards (NICE QS38 and JAG GRS) and collected data on patient and process outcomes. Patients aged ≥16 years admitted with suspected AUGIB who underwent an inpatient OGD were prospectively identified in a consecutive 30 day window from November 2017. Anonymised data and outcomes to 30 d were collected using common proformas and protocols.

Collaboration between gastroenterology trainee-led research networks can successfully deliver projects across multiple sites and regions. This audit shows wide variations in practice. Local action plans are still needed to meet JAG quality measures. However, we propose to harness the enthusiasm of trainees to drive improvements in the quality of care received by patients with GI bleeding – regionally, through the BSG national QI agenda, and in partnership with patients via Core. We encourage our peers to establish their own trainee-led research networks.